Thoracic vertebrae

The biggest differences between the vertebrae in the spine, are shape and secondary functionality. The cervical vertebrae are the smallest, they are the most flexible allowing the biggest range of head movement. The only vertebra containing no vertebral body, the axis, is located in the cervical vertebrae. Thoracic vertebrae are mid sized, and the physical shape of the thoracic vertebrae are the most rigid because they connect the ribcage and torso to the spine. Thoracic vertebrae are the only vertebrae to aid in protecting the inner organs. Lumbar Vertebrae are the largest spinal bones, their size aids in supporting the majority of upper body weight, and allows for twisting and bending. Intervertebral discs are shock absorbing cartilage in…

A progress note from Dr. Johnson, dated 07/17/2017, indicated that the claimant presented with a mid/low back pain radiating to his feet and toes with numbness. She had nerve block injection in the sciatic nerve, bilaterally. On a follow-up visit with Dr. Johnson dated 07/26/2017, it was noted that the claimant had been having anxiety issues with her thyroid effect on her hair. She stated that it feels like her hair was growing. The claimant had bilateral sciatic nerve block injection on…

“The Effect of a Compressive Brace for the Treatment of Perons with Pectus Carinatum” 1. Lee SY, Lee SJ, Jeon CW, Lee CS, Lee KR. Effect of the compressive brace in pectus carinatum. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 2008;34(1):146-9. The purpose of this study was to observe, over a six year period, the effects and efficiency of compressive brace therapy as a nonsurgical treatment for pectus carinatum (PC).…

SUMMARY OF CASE STUDY Bill, a 34 year old male, arrived at the doctor’s office experiencing pain in his right hip. Prior to this, Bill maintains an overall healthy lifestyle which includes exercising and activities such as; swimming, water skiing and scuba diving. Bill reports he has had no trauma to his hip. On this visit an analgesic and muscle relaxant were both prescribed to the patient and he was sent home. After three weeks of no improvement Bill has returned to the doctor’s office and has…

This is a 62-year-old male with a 11/30/2015 date of injury. IW's foot caught the curb of a step, and he fell approximately 10 feet down the concrete stairs. DIAGNOSIS: status post mechanical fall -rib fractures and knee contusion. 12/30/15 Progress Report documented that the patient reported stomach upset due to Norco. There are fractures of the right 6th, 7th and 8th ribs, where he still has pain with respiration. Since the injury, he has experienced significant pain in the left knee,…

This is an 80-year-old female with 01/14/2003 date of injury, who injured her low back and right hip when she fell out of a chair while reaching for a chart DIAGNOSIS: Chronic low back pain with bilateral radiculitis, degenerative disc, status post laminectomy 12/23/15 Progress Report documented that the patient continues to have pain in her lower back and bilateral hip, which radiates down to the foot. There is also radiating pain to the left side of the neck. The lower back and hip pain are…

However use of this device requires a trained operator. Calibration also needs to be done before using the device. Flexible electrogoniometers are strain-gage-based systems that consists of two light-weight end blocks fixed to the twelfth thoracic vertebrae(T12) and sacral spine(S2)spinal processes. They are separated by a steel spring and it protects a narrow strip of steel foil[11]. Strain gages attached to the foil were used to monitor lumbar angle motion in two different planes during both…

A little background information on Gary who came to the clinic with right shoulder pain. Gary is a 40 year old self-employed painter. He has had a cortisone injection that proved to be helpful for about five months. However, the pain returned and is a 5/10. Gary has been taking ibuprofen which hasn’t helped and using ice for some relief. There are several possible causes for Gary’s shoulder pain. For example, Gary could have Adhesive Capsulitis, Glenohumeral Osteoarthritis, Bicep Tendonitis,…

information given in the article by Lau, Chiu, & Lam (2010) about using thoracic manipulation for the treatment of neck pain was very new to me. There were several instances in the past where I treated patients with neck pain by giving mobilizations techniques and modalities in and around cervical area. This article was a convincing one which helped me to understand the concept of biomechanical and etiological relationship between cervical and thoracic structures and how this knowledge can…

This is a 58-year-old male with a 3/26/2003 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: Shoulder Pain 11/10/15 Progress Report described that the last urine toxicology was in July. A new UDS was done and the results are pending. The patient has right shoulder, right wrist, right thigh and lumbar spine pain. He is going to see an IME doctor on 11/13/15. Constant use of Opioids since < 6 months. The average pain level is 6/10 with 5/10-scale level at…